Search Results

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Products found: 45New Search
DIN/ PIN/ NPNGeneric NameBrand Name, Strength & Dosage FormMFRDrug Benefit Price or Unit PriceAmount MOHLTC PaysInter- change- ableLimited UseThera- peutic Notes
00482323ACETAMINOPHENNovo-Gesic Forte Tab 500mgNOP0.02850.0285YESNONO
00389218ACETAMINOPHENNovo-Gesic Tab 325mgNOP0.02450.0245YESNONO
00020885AMPICILLINNovo-Ampicillin 500mg CapNOP0.59550.5955YESNOYES
00020877AMPICILLINNovo-Ampicillin 250mg CapNOP0.30710.3071YESNOYES
00021997ASCORBIC ACIDNovo-C (Not a Benefit) 500mg TabNOPN/AN/AYESNONO
02315157AZITHROMYCINNovo-Azithromycin Pediatric 100mg/5mL O/L-15mL PkNOP5.93475.9347YESNOYES
02315165AZITHROMYCINNovo-Azithromycin Pediatric 200mg/5mL O/L-15mL PkNOP8.40628.4062YESNOYES
09857328AZITHROMYCINNovo-Azithromycin Pediatric 200mg/5mL O/L-22.5mL PkNOP12.609312.6093YESNOYES
02267845AZITHROMYCINNovo-Azithromycin 250mg TabNOP0.94100.9410YESNOYES
02313731CILAZAPRIL & HYDROCHLOROTHIAZIDENovo-Cilazapril/HCTZ 5mg/12.5mg TabNOP0.41700.4170YESNONO
00337382CLOFIBRATENovo-Fibrate (Not a Benefit) 500mg CapNOPN/AN/AYESNONO
02309556CYPROTERONE ACETATE & ETHINYL ESTRADIOLNovo-Cyproterone/Ethinyl Estradiol (Off-Formulary Interchangeable) 2mg & 0.035mg Tab-21 PkNOP23.3400N/AYESNONO
02300680ENALAPRIL MALEATENovo-Enalapril 2.5mg TabNOP0.18630.1863YESNOYES
00262595ERYTHROMYCIN ESTOLATENovo-Rythro Estolate 50mg/mL O/LNOP0.07130.0713YESNOYES
00605859ERYTHROMYCIN ETHYLSUCCINATENovo-Rythro Ethyl Succinate 40mg/mL O/LNOP0.06690.0669YESNOYES
00652318ERYTHROMYCIN ETHYLSUCCINATENovo-Rythro Ethyl Succinate 80mg/mL O/LNOP0.10130.1013YESNOYES
00595829GRAIN & CITRUS FIBRENovo-Fibre TabNOP0.07060.0706YESNONO
00269034HEXAVITAMINS USPHexavitamins (Not a Benefit) TabNOPN/AN/AYESNONO
00738840HYDROXYZINE HCLNovo-Hydroxyzin (Not a Benefit) 50mg CapNOPN/AN/AYESNONO
00738832HYDROXYZINE HCLNovo-Hydroxyzin (Not a Benefit) 25mg CapNOPN/AN/AYESNONO
00738824HYDROXYZINE HCLNovo-Hydroxyzin (Not a Benefit) 10mg CapNOPN/AN/AYESNONO
00629324IBUPROFENNovo-Profen 200mg TabNOP0.05100.0510YESNOYES
00629340IBUPROFENNovo-Profen 400mg TabNOP0.04680.0468YESNOYES
00629359IBUPROFENNovo-Profen 600mg TabNOP0.13130.1313YESNOYES
02210479IPRATROPIUM BROMIDENovo-Ipramide 250mcg/mL Inh Sol-20mL PkNOP6.31406.3140YESYESNO
02248262LEVOFLOXACINNovo-Levofloxacin 250mg TabNOP1.20381.2038YESNONO
02285649LEVOFLOXACINNovo-Levofloxacin (Off-Formulary Interchangeable) 750mg TabNOP6.5484N/AYESNONO
02248263LEVOFLOXACINNovo-Levofloxacin 500mg TabNOP1.37181.3718YESNONO
02132591LOPERAMIDE HCLNovo-Loperamide 2mg CapletNOP0.09520.0952YESYESNO
00004723MERCAPTOPURINEPurinethol 50mg TabNOP2.86102.8610YESNOYES
02045710METFORMIN HCLNovo-Metformin 500mg TabNOP0.02470.0247YESNONO
02230360MEXILETINE HCLNovo-Mexiletine 200mg CapNOP1.09301.0930YESNONO
02230359MEXILETINE HCLNovo-Mexiletine 100mg CapNOP0.81620.8162YESNONO
00274496NICOTINIC ACIDNovo-Niacin (Not a Benefit) 50mg TabNOPN/AN/AYESNOYES
02321343OLANZAPINENovo-Olanzapine OD 5mg Rapid Dissolve TabNOP0.35740.3574YESNONO
02321378OLANZAPINENovo-Olanzapine OD 15mg Rapid Dissolve TabNOP1.07111.0711YESNONO
02321351OLANZAPINENovo-Olanzapine OD 10mg Rapid Dissolve TabNOP0.71430.7143YESNONO
02230394OXYBUTYNIN CHLORIDENovo-Oxybutynin 5mg TabNOP0.09860.0986YESNONO
00021695PREDNISONENovo-Prednisone 5mg TabNOP0.02200.0220YESNONO
00232378PREDNISONENovo-Prednisone 50mg TabNOP0.19000.1735YESNONO
02326450SALBUTAMOLNovo-Salbutamol HFA 100mcg/Metered Dose Inh-200 dose PkNOP5.00005.0000YESNONO
00874086SALBUTAMOLNovo-Salmol (Not a Benefit) 100mcg/Metered Dose Inh-200 dose PkNOPN/AN/AYESNONO
02231182SOTALOL HCLNovo-Sotalol 160mg TabNOP0.16230.1623YESNONO
02281392TAMSULOSIN HCLNovo-Tamsulosin SR 0.4mg CapNOP0.23750.1500YESNOYES
02143305VINCRISTINE SULFATEVincristine Sulfate 1mg/mL Inj SolNOP30.600030.6000YESNONO